Organization · Type 2 NPI
Practitoners Community Care
Primary Care Nurse Practitioner · Douglasville, GA
NPI number
1043860554
Active
Practice location
2022 Highway 92 Fairburn Rd Ste F
Douglasville, GA 30135-1062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Douglasville
About NPI 1043860554
Practitoners Community Care's National Provider Identifier is 1043860554, issued on Sep 17, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Douglasville, GA. The record was last updated on Aug 25, 2026.